Tier: SWin54.30%Role26.58%Pick0.22%Ban0.13%Games: 151KDA: 2.25Score: 56.19
Karthus Mid Lane is ranked S Tier and has a 54.30% win rate in LoL Patch 9.24. We've analyzed 151 Karthus Mid Lane games to compile our statistical Karthus Build Guide. For items, our build recommends: Rod of Ages, Sorcerer's Shoes, Luden's Echo, Morellonomicon, Rabadon's Deathcap, and Void Staff. For runes, the strongest choice is Domination (Primary) with Dark Harvest (Keystone), and Precision (Secondary). The optimal Summoner Spells for this build are Flash and Ignite. Starting items should include Health Potion, Doran's Ring, Control Ward, Faerie Charm, and Warding Totem (Trinket). Karthus's Best Mid Lane matchups include Mordekaiser and Veigar. Karthus's Best Mid Lane counters are Akali, Vladimir, and Zed.
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Karthus Summoner Spells


Win %
Pick %
53%
98%
64%
44%

53%
24%

53%
11%

37%
13%

54%
9%
Karthus Starting Items

54%

55%

59%

100%

55%
Karthus Runes
Win %
Pick %
57%
28%
51%
14%
50%
16%
89%
5%
Karthus Items

55%

54%

59%

60%

76%

76%

53%

89%
Karthus Skill Order
![]() | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | Q | Q | Q | Q | Q | |||||||||||||
![]() | W | W | W | W | W | |||||||||||||
![]() | E | E | E | E | E | |||||||||||||
![]() | R | R | R |
Karthus Trinkets
Win %
Buy %

53%
101%

56%
17%

0%
1%
Karthus Boots
Win %
Buy %

54%
90%

100%
1%

100%
1%